Individual
MR. JASON W HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST AUGUSTA GA 30912, AUGUSTA, GA 30912-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN248427
GA
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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